CPT code 95024: Intradermal allergy test, immediate reaction, allergenic extracts2026 Medicare rate & RVUs in South Dakota

Intradermal testing with allergenic extracts is reported per immediate-reaction test, often when a suspected inhalant allergen has a negative or unclear prick-test result.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3M Medicare services in 2024

In South Dakota, Medicare pays $7.46 for 95024 in the office and $0.78 when it’s performed in a hospital or facility.

$7.46Office (non-facility)
$0.78Hospital or facility
−2.9%vs the national office rate ($7.68)

Check a contract rate as a % of Medicare · 95024 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 95024 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 95024 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95024 covers

Small amounts of diluted allergenic extract are injected into the superficial dermis, often on the upper arm. Sites are typically read about 15 to 20 minutes later for an immediate wheal-and-flare reaction. Common extracts include dust mite, mold, pollen, and animal dander. Intradermal testing is more sensitive than percutaneous prick testing and may follow negative or unclear prick results when the history still suggests an inhalant allergy. Allergists commonly order and interpret these tests in an office, where nursing or allergy staff may place and read them. Nearly all Medicare volume for this code is in the office setting.

Report one unit for each intradermal allergen test performed and interpreted; do not count the reading as another test. Interpretation and the written report are included. Documentation should identify each allergen and its concentration or dilution, the reading time, wheal-and-flare measurements, and the interpretation. Practice expense accounts for most of the office value, reflecting extracts, supplies, and staff time; physician work represents 4% of the office total. Venom, drug, sequential and incremental airborne-allergen, and delayed-reaction testing have separate codes.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How South Dakota compares for 95024

Across 109 of 109 payment localities, the office rate for 95024 runs from $6.53 in Arkansas to $10.66 in San Benito County, CA. South Dakota pays $7.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

95024 in South Dakota vs other payment areas
  1. South Dakota · this page$7.46
  2. Los Angeles, CA · California$8.87+$1.41
  3. Washington, DC area · District of Columbia$8.99+$1.53
  4. Miami, FL · Florida$8.48+$1.02
  5. Chicago, IL · Illinois$8.15+$0.69
  6. Manhattan, NY · New York$9.04+$1.58
  7. Alaska · Alaska$8.16+$0.70

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

95024 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$6.66$0.82
ArkansasArkansas$6.53$0.79
ArizonaArizona$7.42$0.94
Bakersfield, CACalifornia$8.23$0.91
Chico, CACalifornia$8.21$0.88
El Centro, CACalifornia$8.21$0.89
Fresno, CACalifornia$8.21$0.88
Hanford, CACalifornia$8.21$0.88

95024 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$6.53

$9.44

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95024 office rate range by state
State / territoryOffice rate rangeLocalities
AK$8.161
AL$6.661
AR$6.531
AZ$7.421
CA$8.21–$10.6629
CO$8.061
CT$8.301
DC$8.991
DE$7.571
FL$7.54–$8.483
GA$6.99–$7.862
GU$8.501
HI$8.501
IA$6.881
ID$6.951
IL$7.26–$8.154
IN$7.001
KS$6.841
KY$6.881
LA$6.86–$7.312
MA$7.99–$9.022
MD$7.74–$8.993
ME$6.99–$7.502
MI$7.12–$7.672
MN$7.651
MO$6.71–$7.353
MS$6.621
MT$7.681
NC$7.091
ND$7.481
NE$6.931
NH$7.931
NJ$8.37–$8.852
NM$7.171
NV$7.631
NY$7.23–$9.325
OH$7.071
OK$6.861
OR$7.55–$8.382
PA$7.09–$8.042
PR$7.751
RI$7.881
SC$7.101
SD$7.461
TN$6.891
TX$7.03–$8.058
UT$7.231
VA$7.46–$8.992
VI$7.751
VT$7.451
WA$7.98–$9.232
WI$7.161
WV$6.911
WY$7.601

See 95024 in every payment locality

How the 95024 rate is calculated

Each of 95024’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 95024

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.01

0.01 RVUs× 1.000 GPCI

Practice expense0.21

0.21 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.2300

Conversion factor

$33.4009

Medicare rate

$7.68

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,461

Code
95024
Physician work
0.01
Practice expense
0.21
Malpractice
0.01

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 95024 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.01× 1.0000.0100
Practice expense0.21× 1.0000.2100
Malpractice0.01× 0.3360.0034
Total RVUs0.2234
Conversion factor× 33.4009

Office rate, South Dakota$7.46

Office: (0.01 × 1 + 0.21 × 1 + 0.01 × 0.336) × $33.4009 = $7.46

Facility: (0.01 × 1 + 0.01 × 1 + 0.01 × 0.336) × $33.4009 = $0.78

Open 95024 in the RVU calculator

Payment rules and modifiers for 95024

95024 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 95024

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$7.68

Non-facility (office)
$7.68
Facility
$1.00

Higher because the practice carries its own overhead.

How 95024 has changed in South Dakota

95024 · Office / nonfacility

$7.46

Effective 2026-10-01

The base rate is $0.22 higher than on 2025-10-01, moving from $7.24 to $7.46 (3.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $7.24changed to$7.46

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $7.78changed to$7.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $7.66changed to$7.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $7.92changed to$7.66

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $8.43changed to$7.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.23 changed to 0.22
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $8.50changed to$8.43

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $8.07changed to$8.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.21 changed to 0.23
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $8.07changed to$8.07

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $8.06changed to$8.07

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $7.68changed to$8.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.20 changed to 0.21
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $7.66changed to$7.68

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $7.69changed to$7.66

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $7.65changed to$7.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $7.67changed to$7.65

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $7.97changed to$7.67

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.22 changed to 0.20
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $7.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$7.46$0.78RVU26D
2026-07-01$7.46$0.78RVU26C
2026-04-01$7.46$0.78RVU26B
2026-01-01$7.46$0.78RVU26A
2025-10-01$7.24$0.77RVU25D
2025-07-01$7.24$0.77RVU25C
2025-04-01$7.24$0.77RVU25B
2025-01-01$7.24$0.77RVU25A
2024-10-01$7.78$0.79RVU24D
2024-07-01$7.78$0.79RVU24C
2024-04-01$7.78$0.79RVU24B
2024-03-09$7.78$0.79RVU24AR
2024-01-01$7.66$0.78RVU24A
2023-10-01$7.92$0.80RVU23D
2023-07-01$7.92$0.80RVU23C
2023-04-01$7.92$0.80RVU23B
2023-01-01$7.92$0.80RVU23A
2022-10-01$8.43$0.81RVU22D
2022-07-01$8.43$0.81RVU22C
2022-04-01$8.43$0.81RVU22B
2022-01-01$8.43$0.81RVU22A
2021-10-01$8.50$0.82RVU21D
2021-07-01$8.50$0.82RVU21C
2021-04-01$8.50$0.82RVU21B
2021-01-01$8.50$0.82RVU21A
2020-10-01$8.07$0.85RVU20D
2020-07-01$8.07$0.85RVU20C
2020-04-01$8.07$0.85RVU20B
2020-01-01$8.07$0.85RVU20A
2019-10-01$8.07$0.86RVU19D
2019-07-01$8.07$0.86RVU19C
2019-04-01$8.07$0.86RVU19B
2019-01-01$8.07$0.86RVU19A
2018-10-01$8.06$0.86RVU18D
2018-07-01$8.06$0.86RVU18C
2018-04-01$8.06$0.86RVU18B
2018-01-01$8.06$0.86RVU18AR1
2017-10-01$7.68$0.86RVU17D
2017-07-01$7.68$0.86RVU17C
2017-04-01$7.68$0.86RVU17B
2017-01-01$7.68$0.86RVU17A
2016-10-01$7.66$0.86RVU16D
2016-07-01$7.66$0.86RVU16C
2016-04-01$7.66$0.86RVU16B
2016-01-01$7.66$0.86RVU16A
2015-10-01$7.69$0.86RVU15D
2015-07-01$7.69$0.86RVU15C
2015-04-01$7.65$0.86RVU15B
2015-01-01$7.65$0.86RVU15A
2014-10-01$7.67$0.87RVU14D
2014-07-01$7.67$0.87RVU14C
2014-04-01$7.67$0.87RVU14B
2014-01-01$7.67$0.87RVU14A
2013-10-01$7.97$0.83RVU13D
2013-07-01$7.97$0.83RVU13C
2013-04-01$7.97$0.83RVU13B
2013-01-01$7.97$0.83RVU13AR

Price 95024 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

95024 billing questions

How many units are reported?

Report one unit for each intradermal allergen test performed and interpreted, not another unit for reading it. The documented allergens, concentrations, and results should support the unit count.

Can 95004 and 95024 be billed on the same date?

Yes, when separately necessary intradermal tests follow prick testing in the same session. Documentation should show why the intradermal tests were needed, such as negative or equivocal prick results despite a suggestive history.

Should insect venom or penicillin skin testing go under 95024?

No. Use 95017 for venom testing and 95018 for drug or biological testing, such as penicillin. Those codes encompass percutaneous and intradermal testing.

When is 95027 used instead of 95024?

Use 95027 for sequential, incremental intradermal testing with airborne allergens. Use 95024 for individual immediate-reaction intradermal tests that are not part of that testing protocol.

Is a separate E/M visit billable on the testing day?

Reading and reporting the test results are included in 95024. A significant, separately identifiable E/M service must be documented separately and reported with modifier 25 on the E/M code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 95024PPRRVU2026_Oct_nonQPP.csv, line 12,461 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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